Avaliação das ações de controle da sífilis e do HIV na assistência pré-natal da rede pública do município do Rio de Janeiro, Brasil

Domingues, Rosa Maria Soares Madeira; Hartz, Zulmira; Leal, María do Carmo

doi:10.1590/s1519-38292012000300007

Cited by 23 publications

(41 citation statements)

References 25 publications

(46 reference statements)

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“…Despite protocols are clear as to the appropriate diagnostic and treatment guidelines on pregnancy, it seems this is not being fully followed by health professionals. The bankruptcy of prenatal care, either due to the difficulty of access of users, or by the caregiver inadequacy or assistance processes, is therefore the critical point for the elimination of congenital syphilis (29,30) . We can't generalize our data, as this is a study in just one health unit, but it suggests that a better care quality of pregnant women, combined with the reduction of social inequalities, would have an impact on the incidence of congenital syphilis.…”

Section: Resultsmentioning

confidence: 99%

IncIdence of congenItal SyphIlIS In a MetropolItan regIon of rIo de JaneIro State: SocIal InequalItIeS

Fonseca¹,

Oliveira²,

Almeida³

et al. 2013

J bra doenças sex transm

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Introduction: congenital syphilis remains a public health matter, with no perspective of reaching governmental reduction goals. There are few studies about social inequalities and its relation with this disease in Brazil. Objective: describe occurrence of congenital syphilis in a reference hospital in a Metropolitan Region of Rio de Janeiro State, according to socioeconomic and clinical-laboratorial variables as well. Methods: cross-sectional study, based on interviews, review of medical records and prenatal cards. Population: all women admitted to a maternity ward during a trimester in 2011. Maternal variables: age, schooling, skin color, income, prenatal visits. Fetus/neonate variables: birth weight, gestational age, clinical and laboratory outcomes. Incidence of congenital syphilis (Brazilian Ministry of Health criteria) was calculated for all live births and for each social and economical variable. Results: there were 666 eligible women, comprehending 576 deliveries -558 live births and 18 stillbirths. We identified 22 CS cases: 18 live births, three fetal deaths and 1 abortion. One of the neonates died in the third day of life. The incidence of CS was of 39.4/1,000 live births. Socioeconomic variableslow education, low income and black skin -were related to a greater incidence. Only 13 out of 22 cases were identified in prenatal care. Conclusion: our results pointed to social inequalities in the congenital syphilis incidence. As prenatal care is also related to socioeconomic variables, investments in quality of maternal assistance should be directed to more vulnerable women.

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Section: Resultsmentioning

confidence: 99%

IncIdence of congenItal SyphIlIS In a MetropolItan regIon of rIo de JaneIro State: SocIal InequalItIeS

Fonseca¹,

Oliveira²,

Almeida³

et al. 2013

J bra doenças sex transm

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show abstract

“…For pregnant women with 7 or more prenatal visits, there was an increase in coverage from 22.3% in 1995 to 57.9% in 2009 23 . Despite the quantitative increase in prenatal visits supplied to these women, Brazilian studies have shown inequalities in the care provided, especially in relation to socioeconomic status 17 , as well as important flaws in the control of some sexually transmissible diseases (HIV and syphilis) 34 .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with gestational weight gain in pregnant women in Rio de Janeiro, Brazil, 2008

Fraga

Filha

2014

Cad. Saúde Pública

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Inadequate weight gain during pregnancy is an important predictor of complications for the mother and infant. This cross-sectional study assessed factors associated with inadequate weight gain among women in the third trimester of pregnancy who received prenatal care under the Brazilian Unified National Health System (SUS) in the city of Rio de Janeiro, Brazil, from November 2007 to July 2008. A total of 1,079 pregnant women were interviewed, and adequacy of weight gain was obtained by calculating weight gain as recommended by the U.S. Institute of Medicine. Social, demographic, and obstetric factors were analyzed as independent variables. A multinomial logistic regression model was used, and pregnant women with weight gain below or above the recommended levels were compared to those with adequate weight gain. Low schooling was associated with insufficient weight gain, while excessive gain was observed in women with hypertension and pre-gestational underweight, overweight, and obesity. Nutritional assessment during prenatal care is essential, and interventions should target cases of inadequate weight gain in order to prevent complications for the mother and infant.

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“…A study showed that the early capture and reception of pregnant women, as well as the correct and timely detection and treatment for syphilis, especially in their sexual partners, is still a challenge for the control of congenital syphilis [27]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with syphilis in parturient women in Northeast, Brazil

et al. 2013

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BackgroundCongenital syphilis is a major public health concern, even after the implementation of intervention protocols in several countries. This study aimed to analyze the prevalence and socio-demographic, behavioral and institutional factors associated with syphilis in parturient women attending public maternity hospitals in Northeast, Brazil.MethodsA cross-sectional study was conducted from June to September 2010 with a proportionate stratified sampling of 222 parturient women using a structured questionnaire. The study analyzed socio-demographic, behavioral and institutional variables. The structured questionnaire was conducted with parturient women and complementary information was obtained through hospitals records, admission forms and prenatal cards. Data were stored using the Statistical Package SPSS version 18. A descriptive statistical analysis was performed using frequency distribution, central tendency and measures of spread for the variables. A bivariate analysis was done using chi square test and Fisher’s exact test, with a significance level of 5% and a 95% confidence interval, in order to analyze the relation between the variables and risk factors for syphilis. The multivariate logistic regression analysis was done in the statistical package STATA, version 11.0.ResultsThe prevalence of syphilis in parturient women was 7.7%. The bivariate analyses showed that the rate was higher among women who: were from Fortaleza (p = 0.019), studied for less than nine years (p = 0.044), had more than one sexual partner in life (p = 0.021), did not live with partner (p = 0.022), used illegal drugs (p < 0.0001), whose partner used illegal drugs and had diagnosis of syphilis (p = 0.001 and p < 0.0001 respectively). The non-adjusted analysis found significant positive association between syphilis and the following variable: being from Fortaleza (OR = 7.26; CI 95% = 1.49-100.20), having studied for less than nine years (OR = 7.97; CI 95% = 0.87-12.89), having more than one sexual partner in life (OR = 3.75; CI 95% = 1.59-107.11), not living with partner (OR = 3.75; CI95% = 1.03-12.15), and parturient women and partner used illegal drugs (OR = 7.34; CI95% = 1.69-27.57; OR = 4.93; CI95% = 1.58-16.05), respectively. The adjusted multiple logistic regression analysis showed that none of the variables remained significant.ConclusionThis study enabled to identify a high prevalence of syphilis in parturient women and that this situation is associated with socio-demographic, behavioral and institutional variables.

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Avaliação das ações de controle da sífilis e do HIV na assistência pré-natal da rede pública do município do Rio de Janeiro, Brasil

Cited by 23 publications

References 25 publications

IncIdence of congenItal SyphIlIS In a MetropolItan regIon of rIo de JaneIro State: SocIal InequalItIeS

IncIdence of congenItal SyphIlIS In a MetropolItan regIon of rIo de JaneIro State: SocIal InequalItIeS

Factors associated with gestational weight gain in pregnant women in Rio de Janeiro, Brazil, 2008

Prevalence and factors associated with syphilis in parturient women in Northeast, Brazil

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